Provider Demographics
NPI:1972487056
Name:GARCIA, LISETTE ANAHI (LPC)
Entity type:Individual
Prefix:
First Name:LISETTE
Middle Name:ANAHI
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-6991
Mailing Address - Country:US
Mailing Address - Phone:956-456-4630
Mailing Address - Fax:
Practice Address - Street 1:7017 S STAPLES ST STE 101
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5632
Practice Address - Country:US
Practice Address - Phone:361-994-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-02
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional